S. Chris Malaisrie, MD, Glenn R. Barnhart, MD, R

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Presentation transcript:

Current era minimally invasive aortic valve replacement: Techniques and practice S. Chris Malaisrie, MD, Glenn R. Barnhart, MD, R. Saeid Farivar, MD, PhD, John Mehall, MD, Brian Hummel, MD, Evelio Rodriguez, MD, Mark Anderson, MD, Clifton Lewis, MD, Clark Hargrove, MD, Gorav Ailawadi, MD, Scott Goldman, MD, Junaid Khan, MD, Michael Moront, MD, Eugene Grossi, MD, Eric E. Roselli, MD, Arvind Agnihotri, MD, Michael J. Mack, MD, J. Michael Smith, MD, Vinod H. Thourani, MD, Francis G. Duhay, MD, Mark T. Kocis, William H. Ryan, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 1, Pages 6-14 (January 2014) DOI: 10.1016/j.jtcvs.2013.08.086 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Computed tomography reconstruction demonstrates an iatrogenic dissection of the external iliac artery after cardiac catheterization. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Preoperative chest computed tomography. A, Axial plane. B, Sagittal plane. Reprinted from reference 20, with permission from Elsevier. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Preoperative chest computed tomography identifying (A) the location of the aortic valve relative to the chest wall, (B) skin incision for upper hemisternotomy, (C) J incision into the right fourth (black) or third (blue) intercostal space, and (D), surgical exposure. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Upper hemisternotomy with central cannulation for cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Technique of femoral cannulation for cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Placement of the percutaneous; retrograde cardioplegia catheter using (A) transesophageal echocardiography and (B) fluoroscopic guidance. LA, Left atrium; TV, tricuspid valve; SVC, superior vena cava. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 7 Right anterior thoracotomy incision in the (A) right third intercostal space and (B) surgical exposure. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 6-14DOI: (10.1016/j.jtcvs.2013.08.086) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions